Mark H Kadowaki, MD | |
121 E Ravine Rd, Suite 200, Kingsport, TN 37660-3816 | |
(423) 408-7050 | |
(423) 408-7054 |
Full Name | Mark H Kadowaki |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 121 E Ravine Rd, Kingsport, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013901784 | NPI | - | NPPES |
1013901784 | Medicaid | VA | |
4238238 | Other | TN | BLUE CROSS TENNESSEE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 44850 (Tennessee) | Primary |
Entity Name | Wellmont Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909 |
Mailing Address | Practice Location Address |
---|---|
Mark H Kadowaki, MD 999 Executive Park Blvd, Suite 201, Kingsport, TN 37660-4632 Ph: (423) 224-3250 | Mark H Kadowaki, MD 121 E Ravine Rd, Suite 200, Kingsport, TN 37660-3816 Ph: (423) 408-7050 |
George M Testerman Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-5826 Fax: 423-224-6242 | |
Dr. Cheryl Stanski, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 105 W Stone Dr, Ste 4a, Kingsport, TN 37660 Phone: 423-392-6265 Fax: 423-392-6272 | |
Andrew Phillip Kramer, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 444 Clinchfield Street, Suite 2900, Kingsport, TN 37660 Phone: 423-245-6101 Fax: 423-245-2396 | |
Dr. Jeffrey R Kappa, MD Surgery Medicare: Medicare Enrolled Practice Location: 2050 Meadowview Pkwy, Kingsport, TN 37660 Phone: 423-230-5000 Fax: 423-245-2396 | |
Raymond Powell Compton, Surgery Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000 | |
Dr. Elizabeth Michele Jackson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 444 Clinchfield St, Suite 2900, Kingsport, TN 37660 Phone: 423-245-6101 Fax: 423-245-2396 |